Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,459.14 / $7,920.26 / $13,320.00	Facility		$1,459.14	$7,920.26	$13,320.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $679.95 / $1,022.61 / $3,499.00	Professional		$679.95	$1,022.61	$3,499.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,211.00 / $2,211.00 / $2,211.00	Facility		$2,211.00	$2,211.00	$2,211.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $877.59 / $1,422.84 / $2,189.42	Professional		$877.59	$1,422.84	$2,189.42
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,355.08 / $1,592.73 / $1,904.23	Professional		$1,355.08	$1,592.73	$1,904.23
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,022.61 / $1,405.84 / $2,022.44	Facility		$1,022.61	$1,405.84	$2,022.44
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,197.67 / $1,319.98 / $2,090.48	Professional		$1,197.67	$1,319.98	$2,090.48
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,031.50 / $1,426.43 / $1,493.43	Facility		$1,031.50	$1,426.43	$1,493.43
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,022.61 / $1,522.40 / $2,022.44	Facility		$1,022.61	$1,522.40	$2,022.44
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $240.59 / $240.59 / $240.59	Facility	AS	$240.59	$240.59	$240.59
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,311.05 / $1,503.07 / $2,046.89	Professional		$1,311.05	$1,503.07	$2,046.89
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,536.02 / $8,364.56 / $10,637.18	Facility		$6,536.02	$8,364.56	$10,637.18
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,362.29 / $1,739.73 / $2,338.21	Professional		$1,362.29	$1,739.73	$2,338.21
United Facility/Professional Facility Modifier Low / Median / High Price $1,981.00 / $9,074.00 / $12,786.00	Facility		$1,981.00	$9,074.00	$12,786.00
United Facility/Professional Professional Modifier Low / Median / High Price $993.77 / $1,463.69 / $2,294.73	Professional		$993.77	$1,463.69	$2,294.73